Individual provider Active NPI

Clarise Ambun Ndi

  • Case Manager/Care Coordinator
  • New Carrollton, MD
National Provider Identifier
1508698465
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7705 Riverdale Rd
New Carrollton, MD 20784-3958
Phone
(240) 988-9358
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X DC Primary

Addresses

Primary practice location

7705 Riverdale Rd
New Carrollton, MD 20784-3958

Mailing address

7705 Riverdale Rd
New Carrollton, MD 20784-3958
Phone (240) 988-9358

Other names 1

  • Clarise Ambun Ndi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1508698465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 RIVERDALE RD",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843958",
            "telephone_number": "240-988-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7705 RIVERDALE RD",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843958",
            "telephone_number": "240-988-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDI",
        "first_name": "CLARISE",
        "middle_name": "AMBUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARISE",
            "last_name": "NDI",
            "middle_name": "AMBUN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.